Anti-Bullying and Child on Child Abuse Report Form 23/24

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Please complete this form to report any incidents of bullying and/or child on child abuse.

Child-on-Child abuse includes, but is not limited to:

- Bullying, including cyberbullying, prejudice-based and discriminatory bullying
- Abuse in intimate personal relationships between peers
- Physical abuse such as hitting, kicking, shaking, biting, hair pulling, or otherwise causing physical harm; this may include an online element which facilitates, threatens and/or encourages physical abuse
- Sexual violence, such as rape, assault by penetration and sexual assault; this may include an online element which facilitates, threatens and/or encourages sexual violence
- Sexual harassment, such as sexual comments, remarks, jokes and online sexual harassment, which may be standalone or part of a broader pattern of abuse
- Causing someone to engage in sexual activity without consent
- Consensual and non-consensual sharing of nude and semi nude images and or videos (also known as sexting or youth produced sexual imagery)
- ‘Upskirting’ which involves taking a picture under someone’s clothing without them knowing; this is usually with the intention of viewing their genitals or buttocks for sexual gratification, or cause the victim humiliation, distress or alarm. Upskirting is a criminal offence and anyone of any gender, can be a victim
- Initiation/hazing type violence and rituals.

Further information can be found here - https://educationinspection.blog.gov.uk/2019/10/04/what-is-peer-on-peer-abuse/

In terms of how we define bullying we use the following definition - https://www.gov.uk/bullying-at-school/bullying-a-definition

Email *

Your name *

Your contact details (email and/or phone number). If you are a learner completing this form please use your school email address *

Learners name (victim) *

Name of accused learner(s) *

Date & time of Incident *

Place of incident *

Description of incident (please provide as much detail as possible) *

Witnesses to incident *

Is there any evidence of this incident happening that you are aware of? e.g. social media, snap chat, emails, messages, photos, CCTV etc. If yes please given details *

Do you believe the incident was motivated by any of the below (please all of those that apply) *

Gender appearance

Disability/SEN

Gender/Sexism

Religion

Ethnic Origin

Sexual Orientation

Home circumstances

Academic and/or sporting ability

Other

N/A

Required

Has this type of behaviour happened towards you/them before? *

Yes

If this has happened before on how many occasions? (answer n/a if previous answer was no) *

3 or more

n/a

Did you/they report these previous incidents to the school? (answer n/a if your previous answer was n/a) *

Yes

n/a

If your previous answer was yes, can you remember who it was reported to and when? *

What action would you/they like to see taken if this allegation is proven to be true? Please be aware the consequence would need to be in line with the schools 'Behaviour Management and Bullying Policy' which can be found under the policies section of the school website. Please also be aware that the final consequences (if any) will not be disclosed to the victim or their family however you will be contacted to make you aware of the outcome of the investigation into the concern(s) raised *

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